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Lower Esophagus Removal With Intestinal Replacement

South Dakota rates for HCPCS 43123

Removal of the lower portion of the esophagus, the tube that carries food from the throat to the stomach, sometimes together with the upper part of the stomach. The gap is bridged by moving up a length of colon or small intestine and joining it at both ends. The surgeon works through the abdomen, or through a single incision that crosses the chest and abdomen.

Rates data updated July 2026.

How much does Lower Esophagus Removal With Intestinal Replacement cost?

$6,761

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $6,761 for this service. The price depends on where it is billed: about $7,079 from a physician practice, and about $4,571 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$7,079$4,365 to $9,550
FacilityA hospital or hospital-owned outpatient department$4,571$4,169 to $7,762

How much rates vary

Facilitymedian $4,571 · 10th to 90th $3,090 to $12,303Professionalmedian $7,079 · 10th to 90th $3,548 to $12,023
$2K$5K$10K$20Kfacility $4,571professional $7,079

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,890.45
Typical High
$5,754.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6,760.83
Median
$9,549.93
Typical High
$12,022.64
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$5,128.61
Typical High
$12,302.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$7,244.36
Typical High
$31,622.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$9,772.37
Median
$10,000.00
Typical High
$10,000.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$9,549.93
Median
$9,549.93
Typical High
$9,549.93
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$7,244.36
Typical High
$8,511.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$6,918.31
Typical High
$11,481.54
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$9,120.11
Median
$10,715.19
Typical High
$10,715.19

Where South Dakota sits

The same service costs 2.3 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 8th of 51

$6,761

MN $9,772KY $4,266

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.